Scaling and Root Planing

Scaling and Root Planing Coral Gables, FL

Healthy gums are firm and pale pink and fit snuggly around teeth. If you see Signs and symptoms including: Swollen or puffy gums; Bright red, dusky red or purplish gums; Gums that feel tender when touched; Gums that bleed easily; Gums that pull away from your teeth (recede) making your teeth look longer than normal; New spaces developing between your teeth; Pus between your teeth and gums; Bad breath; Loose teeth; Painful chewing. Then you most likely are in presence of a periodontal disease.

Dr. Peggy Alvarez and her skilled dental team can help stop the progression of this disease and prevent further bone and tooth loss. For more information about our excellent Scaling & Root Planing procedure please contact our office today at (305) 548-8690. We look forward to working with you to improve your oral health!

What is Scaling & Root Planing?

Sometimes referred to as a deep-cleaning, Scaling & Root Planing is a therapeutic cleaning procedure that removes the plaque and tartar below the gums in patients that have been diagnosed with "periodontal disease".

Scaling: involves the removal of the plaque and tartar from the surface of the teeth and from the pocket area between the teeth and gums.

Root Planing: involves the removal of the plaque and tartar from the surface of the roots of your teeth.

Periodontal Disease

Periodontal Disease also known as (Gum Disease), are infections of the structures around the teeth. These include the gums, the cementum that covers the root, the periodontal ligament and the alveolar bone. In the earliest stage of periodontal disease, gingivitis, the infection affects only the gums. In more severe forms of the disease, Periodontitis, all of the supporting tissues are involved. The gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out.

What To Expect From a Scaling & Root Planing Treatment:

When going to the dentist, the Doctor or hygienist will use an instrument called a probe to measure the area around your teeth to see if you have any pocketing (area between the tooth and gum where bacteria will form). The depth of the gum tissue between the teeth and gums are called pockets when it is five millimeters or more. The American Academy of Periodontology recommends that Ideally, normal healthy pockets will be no more than 3 millimeters deep.

Scaling and Root Planing treatment may also involve a local anesthetic to numb the areas that will be treated. The treatment often requires hand instruments and an ultrasonic tool to remove the plaque and tartar accumulation while flushing out the periodontal pockets. The dental hygienist will use the instruments below the gum line to clean the roots of your teeth and smooth any rough surfaces to encourage reattachment of gum tissue to the teeth resulting in a shallow, manageable periodontal pocket around the tooth.

Following these deep cleaning procedures, the gum pockets may be treated with antibiotics (such as Arestin). This will soothe irritation and help the gum tissues to heal quickly.

After-care And Recovery

Once your periodontal treatment has been completed, Dr. Peggy Alvarez and her dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually two to four times a year.  At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy.  Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.

Maintaining good oral hygiene practices and continued, long-term follow-up by the dental professionals are essential to prevent periodontal disease from developing into a more serious and/or chronic condition that may require surgery. If you have any concerns or questions about scaling and root planing, or periodontal disease, please call our office at (305) 548-8690. .